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2016-2017

Flexible Spending Accounts (FSA)

Flexible Spending Accounts (FSA) -

FSAs

provide you with an important tax advantage that

can help you pay health care and dependent care expenses on a pre-tax basis. By anticipating

your family’s health care and dependent care costs for the next year, you can actually lower

your taxable income.

Plan Carefully:

Unused balances up to $500 in your Health Care FSA will be rolled over at the

end of the plan year. Balances in your Health Care FSA above $500 will be forfeited. The

Dependent Care FSA remains a “Use It or Lose It” fund. Any unused monies in your

Dependent Care FSA at the end of the year will be forfeited.

The plan year is January 1 through December 31. Qualified expenses must be incurred during

the plan year. Expenses are considered incurred when the service is performed. Once you

make your election, you cannot change the contribution amount unless you experience a

qualified life event change. There are two unique FSA options:

Health Care FSA

- This program allows UDC employees to pay with pre-tax dollars for certain

IRS-approved medical care expenses not covered by your insurance plan. You do not need to

be enrolled in the medical plan to enroll in this benefit.

The annual maximum you may

contribute is $2,550.

This maximum is based on IRS guidelines.

Eligible Expenses Include:

Copays, Coinsurance, and Deductibles

Hearing services, including: hearing aids and batteries

Vision services, including: contact lenses, contact lens solution, eye exams and eye glasses

Dental services and orthodontia

Chiropractic services

Acupuncture

Over-the-counter (OTC) medications provided you have a prescription

Please note:

OTC rules changed January 1, 2011 as a result of Healthcare Reform. Only OTC

medications accompanied by a prescription from your provider will be eligible for reimbursement. Your

debit card will not work for these purchases.

Dependent Care FSA

– The Dependent Care FSA allows UDC employees to use pre-tax

dollars to pay for qualified dependent care, such as caring for children under the age of 13 or

caring for elders (dependent on you for their daily care).

The annual maximum amount you

may contribute is $5,000

(or $2,500 if married and filing separately) per calendar year.

Eligible Expenses include:

The cost of child or adult dependent care either inside or outside the home

The cost for an individual to provide care either in or out of his/her house

Nursery schools and preschools (excluding kindergarten)

Transit

– The Transit Account allow UDC employees to set aside pre-tax dollars to pay for

work-related mass transit expenses.

The current maximum monthly pre-tax contribution

is $255 a month for transportation ($3,060 annually).

This is subject to change

annually.

Some eligible expenses include:

Transit passes, such as: tokens, passes, fare cards, and vouchers

You may obtain information regarding your FSA and HRA balance by calling Eflex at (877) 933-

3539 or logging onto

www.eflexgroup.com .

Once you log onto the website go to the login

section and select participant. You should monitor your accounts on a regular basis to ensure

funds are being paid out of the desired account.